Fordney's Medical Insurance

Authors:

Linda Smith

Brand: Saunders

ISBN: 9780323594400

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Description

Get a solid foundation in insurance billing and coding! Trusted for more than 30 years, Fordneys Medical Insurance equips you with the medical insurance skills you need to succeed in any of todays outpatient settings. The 15^th edition has been expanded to include inpatient insurance and billing and ambulatory surgical center billing. Updated coverage emphasizes the role of the medical insurance specialist in areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. As with previous editions, all the plans that are most commonly encountered in clinics and physicians offices are incorporated into the text, as well as icons for different types of payers, lists of key abbreviations, and numerous practice exercises that accurately guide you through the process of filling out claim forms. In addition, SimChart® for the Medical Office (SCMO) activities on the companion Evolve website give you the opportunity to practice using electronic medical records.

Product Details

Brand Saunders

Reference 62812

EAN13 9780323594400

ISBN 9780323594400

Data sheet

Publication date: 2019
Issue number: 15
Cover: paperback
Pages count: 544
Dimensions (mm): 216 x 276
Weight (g): 1110

Unit One:: Career Role and Responsibilities 1. Role of an Insurance Billing Specialist 2. Privacy, Security and HIPAA 3. Compliance, Fraud and Abuse

Unit Two:: Introduction to the Revenue Cycle Process 4. Basics of Health Insurance 5. The Blue Plans, Private Insurance, and Managed Care Plans 6. Medicare 7. Medicaid and other State Programs 8. Tricare and Veterans Health Care 9. Workers Compensation 10. Disability Income Insurance and Disability Benefit Programs Unit Three:: Documentation and Coding 11. Medical Documentation and the Electronic Health Record 12. Diagnostic Coding 13. Procedural Coding

Unit Four:: Claims Submission in The Medical Office 14. The Paper Claim CMS-1500 15. The Electronic Claim

Unit Five:: The Claim Follow Up and Payment Process 16. Receiving Payments and Insurance Problem Solving 17. Office and Insurance Collection Strategies

Unit Six:: Healthcare Facility Billing 18. Ambulatory Surgical Center 19. Hospital Outpatient and Inpatient Billing Unit Seven:: Employment 20. Seeking a Job and Attaining Professional Advancement